加强反刍思维在不同精神障碍中作用的理解  

To enhance understanding of the role of rumination in different mental disorders

作　　者：张倩倩[1] 曾伶思 马墨涵 秦雪梅 欧雯雯 吕冠仪 王汨 廖梅[1] 张丽[1] 鞠玉朦 刘帮杉 柳进 张燕[1] Zhang Qianqian;Zeng Lingsi;Ma Mohan;Qin Xuemei;Ou Wenwen;Lyu Guanyi;Wang Mi;Liao Mei;Zhang Li;Ju Yumeng;Liu Bangshan;Liu Jin;Zhang Yan(Department of Psychiatry,National Clinical Research Center for Mental Disorders,National Center for Mental Disorders,the Second Xiangya Hospital of Central South University,Hunan,Changsha 410011,China;Department of Clinical Psychology Center,Xiangya Hospital,Central South University,Changsha 410008,China)

机构地区：[1]中南大学湘雅二医院精神病学科,国家精神心理疾病临床研究中心,国家精神疾病医学中心,长沙410011 [2]中南大学湘雅医院临床心理中心,长沙410008

出　　处：《中华精神科杂志》2024年第8期465-472,共8页Chinese Journal of Psychiatry

基　　金：科技创新2030(2021ZD0202000);国家自然科学基金区域创新发展联合基金(U23A20434);国家自然科学基金(82301738)。

摘　　要：反刍思维是一种在多种精神障碍中常见的病理性的习惯性思维模式,与抑郁、焦虑、创伤后应激和强迫障碍等精神障碍的症状严重程度、治疗结局和社会功能结局密切相关。近年来反刍思维成为了精神障碍临床诊疗关注的热点,但反刍思维的研究仍面临挑战,主要包括概念模糊、缺乏一致的评估工具、病理机制不明确以及缺乏有效的干预方法等。为增强对不同精神障碍反刍思维的理解,本文通过回顾国内外相关文献,概述介绍反刍思维的概念、评估、病理机制和干预手段,以期为反刍思维的临床诊疗提供借鉴和参考。Rumination is a pathological habitual thinking pattern commonly observed in various mental disorders.It is closely associated with the severity of symptoms,treatment outcomes,and social functioning outcomes in conditions such as depression,anxiety,post-traumatic stress disorder,and obsessive-compulsive disorder.In recent years,rumination has become a focal point in the clinical diagnosis and treatment of mental disorders.However,research on rumination still faces challenges,including conceptual ambiguity,lack of consistent assessment tools,unclear pathological mechanisms,and a shortage of effective intervention methods.This paper conducts a comprehensive review by examining relevant domestic and international literature to enhance our understanding of rumination across different mental disorders.The review encompasses the concepts,assessments,pathological mechanisms,and intervention methods of rumination,aiming to provide insights and references for the clinical diagnosis and treatment of rumination.

关 键 词：精神障碍 反刍思维 临床表征 量化工具 评估 机制 干预 

分 类 号：R749[医药卫生—神经病学与精神病学]